Age-related decline in hearing and emotional prosody processing: A multi-feature oddball study

This study investigated how age and hearing loss contributed to the challenges in perceiving emotional prosody in speech. A multi-feature oddball paradigm was employed to assess mismatch negativity (MMN) and P3a responses to three deviant prosodies (happy, angry and sad) against the standard neutral prosody in spoken words. The participants were 22 adults in the age range of 18 to 70 with various degrees of hearing loss as assessed with pure tone audiometry. Linear mixed effects models revealed heightened MMN response to angry voice and strongest P3a response to happy voice among the three deviants. There was a significant positive correlation between age and MMN amplitude for the angry prosody. Significant correlations were also observed between hearing loss and MMN amplitude in response to both angry and happy stimuli. In addition, negative correlations were found between P3a amplitude and hearing loss as well as aging for happy stimuli. However, aging and hearing loss did not significantly affect the processing of sadness in this paradigm. These findings showed category-sensitive age-related decline in emotional prosody processing. The intricate correlations patterns among age, hearing loss, MMN, and P3a responses called for further exploration of broader implications in cognitive aging.